Imaging of COVID-19 Patients to assess predisposing factors causing mucormycosis

Abstract

Introduction: With the second wave of Covid 19, the incidence of mucormycosis has seen an upsurge in patients recovered from Covid 19 infection. Aims & Objectives: The present study aims to describe the various symptoms reported by the patients and to describe the various CT findings in the patients suffering from Mucormycosis. Materials and methods: This prospective study was done on 21 post Covid cases from May 2021 to July 2021 at Department of Radiology, VMKV Medical College & Hospitals. Patients who have presented with chest complaints and symptoms of sinusitis such as facial pain, headache, nasalblock, orbital swelling and pain were subjected to CT-Chest, CT-PNS. Imaging findings were correlated with clinical history and findings. Results: Radiological findings showed involvement of ethmoid 19/21(90.78 %) maxillary 17/21 (80.95 %) sinus, followed by sphenoid13/21 (61.90%) and frontal 6/21(28.57 %).Out of 2 patients studied, 15 patients (71.43%) had type 2 diabetes mellitus, 5(23.81%) patients had chronic renal failure, 5(23.81%) patients developed acute renal failure and 2(9.52%) patients received immunosuppressive therapy due to myelodysplastic syndrome. Conclusion: Early diagnosis, control of predisposing factors prompt initiation of antifungal therapy and radical debridement of involved sinuses are very essential for improving outcomes.